Yorkshire Health Campaigns Together meeting 1st May 2020

Yorks HCT mtg 1.5.20 final

Summary Action Agreed

  1. Push the “Test, test, test, PPE, Keep Key Workers Virus free” message. Gilda can send A4 rainbow poster on request and will pass on a new one 999 is preparing
  2. Consider taking the clap out from our streets to more public places such as outside hospitals, maybe even Social Care homes.
  3. Spread campaign re migrant charging (Leeds open letter attached)
  4. Press local and regional health and Social Care Scrutiny Boards to meet (Jenny writing)
  5. Start some serious campaigning for a national, free at the point of use, public national Social care service.
  6. Don’t lose sight of Trade deals and exert what pressure we can on our MPs et al
  7. Do all we can to support whistle-blowers
  8. Think creatively about co-ordinated celebration, protest, campaigning and maybe even marching in July. Possibly on the weekend of 4th and 5th and maybe 25th as well.

Nationalising Special Purpose Vehicles to end PFI: a discussion of the costs and benefits by Helen Mercer and Dexter Whitfield:

MERCER_Nationalising_Special_Purpose_Vehicles_to_End_PFI_2019

Important public meeting online, May 5th 7pm, Coronavirus crisis: What now for the NHS?

Speakers:

Richard Horton – Editor of The Lancet
Professor Allyson Pollock – Consultant in public health and director of Newcastle University Centre for Excellence in Regulatory Science
Dr John Lister – editor of Health Campaigns Together, co-editor of The Lowdown (Lowdownnhs.info)
Dr Sonia Adesara – Junior Doctor and member of KONP’s NHS Staff Voices group
Pam Kleinot – Producer of Under The Knife

This is an online meeting held via Zoom, an easy-to-use videoconferencing app.

Please register here: https://us02web.zoom.us/webinar/register/WN_SeVsKXHHRIa2fvHiDRZVJg

Join Keep Our NHS Public and Health Campaigns Together, to hear from expert analysts, frontline NHS workers and the producer of Under The Knife (feature documentary on the  covert dismantling of the NHS) to hear about how, aggravated by Government arrogance and failure in the early stage of the Coronavirus outbreak, the NHS has been defunded, understaffed and fragmented by privatisation to such an extent that it’s preparedness for the current emergency has been severely undermined and has needlessly cost lives.

Dr John Puntis in The Independent

https://www.independent.co.uk/voices/boris-johnson-coronavirus-uk-nhs-eu-symptoms-a9372526.html

As a doctor, I’m telling Boris Johnson – a Little Britain response to coronavirus will be deadly

We have long known that pandemics do not respect borders. If Johnson removes us from the EU’s disease response network, the consequences could be disastrous

In 1831, the first “Asiatic cholera” pandemic reached the UK via the port of Sunderland. Although the terrible nature of the disease was evident to local doctors, vested interests delayed the notification of authorities in London because of concern about negative effects on business. Of course, more people died, and the port was quarantined.

This cholera pandemic was probably the first time the international dimensions of managing a public health emergency became clear. With 90,000 coronavirus infections and 3,000 deaths worldwide, there is now a new spectre haunting the globe.

The Organisation for Economic Cooperation and Development warns that coronavirus could slash global economic growth rates in half, as factories shut down and supply chains are broken apart. Meanwhile, the European Union has raised the risk of infection from moderate to high.

The UK appears woefully unprepared for coronavirus. The NHS is already in bad shape, with the worst ever A&E waiting times, over 95% bed occupancy, 100,000 staff vacancies and the prospect that a no-deal Brexit will majorly disrupt the supply of medicines. With the worst-case scenario suggesting up to 50 million infections and up to 250,000 deaths in the UK alone, there can be little doubt that both health and social care services will be severely challenged by even a modest intensification of the outbreak.

More worryingly still, it appears the UK government is allowing petty infighting to hamper its preparations for a pandemic. It is staggering to hear that, as the virus continues its rapid spread, Downing Street and the Department of Health and Social Care (DHSC) are locked in a row about Brexit – specifically, the UK’s continued access to the EU Early Warning and Response System (EWRS) for communicable diseases. The DHSC, it is reported, wish to remain in the EWRS, the prime minister decidedly does not.

The EWRS was created by the European Commission to “ensure a rapid and effective response by the EU to events (including emergencies) related to communicable diseases.” In the web-based system – which links the European Commission, public health authorities and the European Centre for Disease Prevention and Control – appointed contacts in member states receive real-time notifications of emerging communicable disease threats, and proposed measures to control them. This allows prompt and coordinated action to fight outbreaks of infectious disease.

A number of organisations have attempted to steer the government away from the disastrous course of leaving the EWRS. The Brexit Health Alliance (BHA), for example, brings medical researchers, patient groups and public health bodies to safeguard the health service during Brexit negotiations. It argues that it is in both Europe and the UK’s interests to cooperate in handling public health issues, and BHA lists the EWRS is as an important mechanism for doing so – not that the government seems to care.

The Faculty of Public Health (FPH) is another expert body whose advice is being ignored. The FPH praised then health secretary Jeremy Hunt for acknowledging that public health emergencies transcend global boundaries, and for committing to making health security central to our Brexit negotiating position. These are commitments over which the government is now riding roughshod, and for what appear to be political reasons.

Under Johnson, Britain appears to be adopting similar isolationism in its public health policy as in its foreign policy. Yet we have known since at least 1831 that pandemics do not respect borders. A “Little Britain” approach to coronavirus is not merely unwise – it is dangerous. Fighting Covid-19 requires us to work with our European neighbours – if we do not, we are putting lives at risk.

The government’s plans to fight coronavirus include recruiting retired doctors like me. Yet domestic skills can be no substitute for international collaboration. As a former consultant paediatrician, I am asking Number 10: for patients’ sake, do not take us out of the EWRS.

Dr John Puntis is co-chair of Keep Our NHS Publlic

Letter for Parliamentary candidates – please use and share

Dear General Election Candidate,

HEALTH CARE: WHAT A BREXIT DEAL MUST INCLUDE

The British Medical Association has published a Briefing on what a Brexit deal must include to safeguard health care for people in the UK.

The Briefing calls for the following safeguards for patients and the NHS in any Brexit deal. Please let me know how once you are elected you will ensure that the government will implement each of these safeguards:

A Brexit deal must include:

Free movement for healthcare and medical research staff

Permanent residence for EU doctors and medical researchers currently in the UK

Continued rights for EEA medical students in the UK to live, train and work in UK health services

Continuation of the existing open border arrangements between Northern Ireland and the Republic of Ireland

Ongoing cross-border co-operation in the delivery of healthcare to patients on both sides of the border between Northern Ireland and the Republic of Ireland

Freedom of movement for healthcare workers to live and work on both sides of the border between Northern Ireland and the Republic of Ireland

Ongoing MRPQ (Mutual Recognition of Professional Qualifications) to provide doctors the means to move and work between both Irish jurisdictions

Ongoing participation by the Medicines and Healthcare Products Regulatory Agency in the regulatory framework for pan-European clinical trials

A formal agreement between the UK and European Medicines Agency to continue to support and participate in their assessments for medicine approvals

Mutual recognition of, and ongoing participation in, the CE scheme for medical devices

The retention, or comparable replacement, of reciprocal health care arrangements and access to healthcare for both UK and EU citizens

The maintenance of reciprocal arrangements, such as the MRPQ (Mutual Recognition of Professional Qualifications), to facilitate the ongoing exchange of medical expertise across Europe and ensure quick access to the UK healthcare system be appropriately trained EU doctors

Ongoing access to the IMI (Internal Market Information) alert system, which enables regulators across Europe to send and receive alerts about doctors’ fitness to practise across the EU

The retention of measures to protect public health standards, including those affecting food, alcohol, air quality, and tobacco regulations

An agreement between the UK and the EU to continue to share data and emergency preparedness planning in relation to cross-border threats

Ongoing access to EU research programmes and research funding

Immediate certainty for UK researchers who currently access Horizon 2020 funding about funding and collaboration on existing and future research projects

Continued access to the European Investment Bank to fund research programmes

Ongoing access to and participation in the European Reference Networks, enabling healthcare providers across Europe to tackle complex or rare medical conditions requiring highly specialised treatment

Abolition of the charge to migrants from outside the EEA to use the NHS.

I look forward to your reply.

Kind regards,

Yours sincerely,

Public Meeting: “What will Happen to the Supply of Medicines after 31st Oct”

Please share. More details or press enquiries please get in touch

Leeds Hospital Alert have organised a public meeting on 17th October, 7.30pm at St. Margaret’s Parish Church ,Church Lane, Horsforth LS18 5LA

Everyone is concerned about the supply of medicines now and after 31st October. Please share the meeting details with everyone you know.

Minutes

Tuesday 21 May 2019

Updates:- We received a thank you e-mail from Phil Corrigan.  She had enjoyed being with us, thanked us for the flowers, wished us well and said carry on fighting.

We are invited to a preview of the Exhibition Many Happy Returns, 70 years of memories of the NHS. Thursday 13th June @Room 700 Leeds Central Library 4 – 6 pm.  The Exhibition runs until July 5th

KONP have booked a stall at the Kirkstall Festival Saturday July 13. Any help we can give will be most welcome. LHA will NOT be having a stall.

Conference, Social Care, Saturday June 29 at St Georges. We did say we would like to help.  I will forward details when I have them from Gilda. Gilda forwarded an invitation to join discussion groups in Leeds June 1st. Bronwen & Beatrice agreed, if there are places still available, to attend the group in Pudsey concentrating on the attacks on our public services.  I did e-mail the invitation to all members.

Shop Mobility:  progress is so slow you can’t help wondering if it will ever be restored BUT there are people trying very hard to move the issue on—–The Disability Hub, The Older Peoples Forum.  Lucy Graham at Forum Central plus Cllr Kevin Ritchie and representing the Council Sinead Cregan Commissioning Programme Leader for the Council and  Bairbra McKendrick  Unison Access Officer After significant delay talks are ongoing with the William Merritt Centre and the Merrion Centre. Leeds is not the best city for the disabled. We can only hope that this time something good will happen.

Home Care Networks.  The document was e-mailed to all members and copies sent to all 8 Leeds MPs.  As yet no response.

Unison retired members group has been alerted to debt collectors being used to collect arears of social care charges.  Asked that a letter be sent to Judith Blake.

Jeremy sent a message to say that at last he has received a letter from Judith Blake highlighting the costs of bringing services back in house.  Having taken

Expert advice he will reply.  Also, he is meeting with UNISON officers to discuss the failure of Leeds City Council to implement The Ethical Care Charter

STOP PRESS Friday May 24

Meanwhile, the Financial Time reports on an existing digital healthcare scheme. The app, GP at Hand, has proved so popular that it is straining the finances of the NHS body which runs it.

Since 2017 it has operated through the Hammersmith and Fulham clinical commissioning group – but is available to people even if they do not live in the area. That has created a £22m funding gap.

Next meeting Tuesday June 18

To be discussed:

Is there a future for Leeds Hospital Alert; if yes how do we progress with so few members and increasing age?

Leeds Hospital Alert minutes March 2019

Care Homes warning in the Guardian if Interserve go into administration on Friday

Outsourcing: – full discussion postponed until next time but the report from the New Economic Foundation has been e -mailed to everyone. Also, Jenny Shepherd and 999 NHS are keeping up the pressure.  The sheer volume of contracts with Interserve as, it was with Carillion; highlights the dangers of current policy. (update cf. the Guardian Saturday March 16)

NHS 10 Year Plan: – many good things in the plan but a glaring omission is services for children. The plan has scant regard for how it will relate to schools.  Mental health support teams will work in schools but will be managed by clinical commissioning staff.  The conclusion of the first Children’s Commissioner for England is that we cannot continue to fail so many children.  Beatrice to contact Lisa Mulherin.

No deal Brexit:  letter sent to Theresa May signed by the great and the good of the NHS.

Alex Sobel is continuing to ask questions in Parliament about insulin supplies.

Digital services in the NHS: – patients will have the right to online and video consultations by April 2021. For further information see Specific Improvements – primary care on line. 8 specific improvements in total. An app a day will keep the doctor away. 25 % of doctor’s appointments will be via app by July 2019.  The accent is to be on DIY healthcare.

Already experimenting with robot doctors!!

IN addition, by 2023 – 2024 an army of social prescribers will be handling approximately 900,000 patient appointments a year.

NHS agreement to extending the Babylon service outside of London to Birmingham is cause for concern.  Believed that Leeds will be its next target.  Richard Vautrey chair of the BMA’s GP committee said ‘ We are incredibly disappointed with this decision, which is not only premature but flies in the face of place based care delivered by practices embedded in local communities, which the recent changes in the GP contract are committed to deliver’   Are patients going to be warned that by signing up to Babylon they will automatically lose their local GP service.  Who is going to monitor Babylon?

N.B. it is estimated 90,000 people in Leeds have no internet service

Questions are being asked about the role of OPTUM which is a subsidiary of United Health (another big American Company) Leeds CCG doesn’t have any contracts with them but NHS England has a contract with them for 4 sites across England to develop staff capability in the use of data to better support front line teams and planners.

Yet another new name.  This time Accountable integrated Care Partnership. WE must monitor developments.

Leeds Hospital Alert Minutes

pdf version LHA Feb 19

We have received a fun thank you card from Nicola.

Bronwen received a reply from Simon Stevens in response to the letter expressing our concerns concerning further privatisation of the NHS and expressing our support for changes to the Lansley Act.

Alex Sobel asked at PM Question Time about the supply of insulin post Brexit.  It is all in hand he was told but we must keep a sharp eye on what happens next.

Concerns about the lack of staff in the NHS causing real problems in all services.

Must keep track of NHS England’s demand for increased use of electronic consultations and services.  We especially need to know what happens for those who do not have internet access.  Many GPs unhappy about recent developments. They could be dangerous.

Social Care Report:  Bronwen, Sylvia, Jeremy, Gilda attended the Social Care meeting at the Central Library. Time was spent looking at the Preston Model, the Foundation Economy Unit at Manchester University, the Sheffield Civic Society model.  All concerned about the cost of outsourcing, its effect on budgets and on patient services.  Good contact was made with Charles Dannreuther at Leeds University.  He would like to know more about LHA.  Sylvia to contact him. We need to know how to move the Council on from their current entrenched position.  Ought we to contact the Centre for Disability Studies at the University?  There will probably be a Northern Conference as follow up to the Birmingham Conference.  Gilda will keep us up to date.

Community Mental Health Services.  Sylvia gave a brief report. The Service is returning to working in teams with the aim of keeping patients out of hospital and in their own homes.  All day units have been closed including Malham House. Intensive home care treatments go live March25. There will be a transition period with re-design of homecare teams.  There will be an on line questionnaire for service users but not for their carers. Further report at our next meeting.

Leeds CCG would like your views on the proposal for urgent treatment centres in Leeds.  Closing date for feedback 15 April 2019.  Contact the CCG on 011 3 843 5470 on leedsccg.comms@nhs.net

KONP: Urgent Care- 111 Service- to be provided by Yorkshire Ambulance Service.  New targets from April.  Could be put through straight to a GP.

Vascular services.  Lack of trained staff means either Huddersfield or Bradford will lose their department.  Leeds working to full capacity.

Combating loneliness.  Aim to rekindle community spirit.  See the e-mail forwarded   from John.  Jan’s cautionary tale about   the threat to her tai chi class not very encouraging. To discuss at the next Yorkshire meeting the possibility of a Northern Conference probably in June.

There will be a workshop at SUMMAT March 9 in Notre Dame Sixth Form College

NHS March 30th March.  Please help with distributing postcards as widely as possible. Cards available from Gilda.

Next meeting Tuesday March 12 Muir Court 7.30

April 9 come to say thank you to Phil Corrigan before she retires in July.  Would be good to have as many members as possible at this meeting.